Olivia Pal
Publications
Inform, Coach, Relate, Listen: Auditing LLM Caregiving Support Roles
Language models are increasingly being deployed for conversational support in informal caregiving contexts, where interactions often extend beyond information-seeking: caregivers seek emotional reassurance, guidance, and help, while navigating uncertain, relationally complex care decisions. Yet most safety evaluations assess model behavior under generic prompts, leaving a critical question unexamined: does a model's safety profile change with its support role? We study this by operationalizing four expert-reviewed support roles grounded in social support theory: Inform, Coach, Relate, and Listen, and comparing them against two baseline controls: a basic prompting condition and a retrieval-augmented generation (RAG) condition. We evaluate across three language models (GPT-4o-mini, Llama-3.1-8B-Instruct, and MedGemma-1.5-4b-it) on 5,000 real-world queries from online Alzheimer's Disease and Related Dementias (ADRD) communities. We find that the LLM's support role systematically shapes both the prevalence and composition of interactional risks. Furthermore, a human evaluation study reveals a perceived quality--safety tension: more directive, information-oriented roles are rated as more helpful and trustworthy despite exhibiting elevated interactional risk profiles. We release ~90,000 support role-conditioned model responses with risk annotations as an ecologically grounded resource for research on safer LLM-mediated conversational support.
The Hidden Toll of Social Media News: Causal Effects on Psychosocial Wellbeing
News consumption on social media has become ubiquitous, yet how different forms of engagement shape psychosocial outcomes remains unclear. To address this gap, we leveraged a large-scale dataset of ~26M posts and ~45M comments on the BlueSky platform, and conducted a quasi-experimental study, matching 81,345 Treated users exposed to News feeds with 83,711 Control users using stratified propensity score analysis. We examined psychosocial wellbeing, in terms of affective, behavioral, and cognitive outcomes. Our findings reveal that news engagement produces systematic trade-offs: increased depression, stress, and anxiety, yet decreased loneliness and increased social interaction on the platform. Regression models reveal that News feed bookmarking is associated with greater psychosocial deterioration compared to commenting or quoting, with magnitude differences exceeding tenfold. These per-engagement effects accumulate with repeated exposure, showing significant psychosocial impacts. Our work extends theories of news effects beyond crisis-centric frameworks by demonstrating that routine consumption creates distinct psychological dynamics depending on engagement type, and bears implications for tools and interventions for mitigating the psychosocial costs of news consumption on social media.